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Identification of Elementary School Children at Risk for Disruptive Behavioral Disturbance: Validation of a Combined Screening Method

NCJ Number
179363
Journal
Journal of the American Academy of Child and Adolescent Psychiatry Volume: 38 Issue: 10 Dated: October 1999 Pages: 1246-1253
Author(s)
Charles D. Casat M.D.; H. James Norton Ph.D.; Madeline Boyle-Whitesel M.S.
Date Published
October 1999
Length
8 pages
Annotation
This study examined the validity of the teacher-rated Inattention/Overactivity With Aggression (IOWA Conners) questionnaire, followed by the Conners Abbreviated Symptom Questionnaire (CASQ) as a feasible, combined screening method for identifying children at high risk for externalizing behavioral disturbance in a school setting.
Abstract
The IOWA Conners and CASQ were administered to the entire population of children, grades K through 6, in a single elementary school. Using a whole-number IOWA Conners threshold score of 18 (1.5 SD), coupled with a CASQ score of 18 (1.0 SD), a high-risk group and an age-, sex-, and classroom-matched low-risk control group were selected for comparison on the Child Behavior Checklist (CBCL), Teacher's Report Form (TRF), Child and Adolescent Functional Assessment Scale (CAFAS), and Diagnostic Interview for Children and Adolescents-Revised diagnoses. The data show significant intergroup differences in CBCL (p greater than .0006), TRF (p treater than .0006), and CAFAS (p greater than .0002) scores and higher numbers of DSM diagnoses (1.7 plus or minus 0.3 versus 0.1 plus or minus 0.3 greater than .0007) between the high-risk and low-risk group. The positive predictive value for externalizing diagnoses for the IOWA Conners plus CASQ was 100 percent, and negative predictive value was 70 percent. The authors conclude that the IOWA Conners combined with the CASQ is a useful initial screening strategy in the school setting for identifying children with disruptive behavioral difficulties. 5 tables and 39 references